Comparison of the effect of naproxen, etodolac and diclofenac on postoperative sequels following third molar surgery: a randomised, double-blind, crossover study

Objectives: To compare the three non-steroidal anti-inflammatory agents (NSAIDs) diclofenac potassium, etodol - ac and naproxen sodium in relation to pain, swelling and trismus following impacted third molar surgery. Study Design: The study was a randomized and a double-blinded study which included 42 healthy young individu - als with impacted third molars and bone retention. Patients were randomly assigned to 3 groups (n: 14) to which diclofenac potassium, naproxen sodium and etodolac were administered orally an hour before the operation. Im - pacted third molars were surgically extracted with local anaesthesia. Visual analog scales (VAS) were used to assess the pain in the 6 th , 12 th hours and on the 1 st , 2 nd , 3 rd , 5 th , and 7 th days postoperatively. Swelling was evaluated using ultrasound (US) and mouth opening (trismus) was measured with a composing stick pre and post operatively on the 2 nd and 7 th days respectively. Results: Regarding pain alleviation, diclofenac potassium was better than naproxen sodium and naproxen sodium was better than etodolac but these differences were not statistically significant. US measurements showed that the swelling on postoperative 2 nd day was significantly lowest with diclofenac potassium as compared to others (p= 0.027) while naproxen sodium and etodolac acted similarly (p=0.747). No difference was noted regarding trismus in any of the groups. Conclusions: NSAIDs (diclofenac, naproxen and etodolac) are somehow similarly effective for controlling pain and trismus following extraction of mandibular third molars but diclofenac potassium surpasses others in reduc - tion of swellin

Warfarın increases the risk of vascular calcification in haemodialysis patients a multicenter case-control study

57th ERA-EDTA CongressERA, EDT

Use of MRI to identify enlarged inferior gluteal and ischioanal lymph nodes and associated findings related to the primary disease

PURPOSE:We aimed to draw attention to the lymph nodes at the inferior gluteal and ischioanal regions and evaluate the lesions accompanying them using 3.0 T magnetic resonance imaging (MRI).METHODS:In total, 22 patients (15 men, 7 women; mean age, 50±11.2 years; age range, 32–71 years) were included in this study. The patients’ medical records were reviewed. MRI data were reviewed on a picture archiving and communication system workstation by two radiologists in consensus. Lymph node location, laterality, number, and size were documented.RESULTS:The primary disorders causing the enlargement of inferior gluteal lymph nodes (n=16) were perianal fistula of cryptoglandular origin (n=5), perianal fistula associated with Crohn’s disease (n=2), decubitus ulcers (n=2), presacral abscess (n=1), non-Hodgkin lymphoma (n=2), prostate cancer invading urethra and anorectal junction (n=1), endometrium cancer invading the urethra and vagina (n=1), and anal cancer (n=2). The pathologies causing the enlargement of ischioanal lymph nodes (n=6) were perianal fistula of cryptoglandular origin (n=4), subcutaneous inflammation of gluteal region related to Crohn’s disease (n=1), and prostate cancer (n=1).CONCLUSION:The infectious and neoplastic lesions involving the anal canal, distal rectum, gluteal region, prostate, and urethra are the possible causes of inferior gluteal and ischioanal lymph node enlargement. Lymphoproliferative diseases can also affect these node groups. MRI is an important method to identify enlarged inferior gluteal and ischioanal lymph nodes and define associated findings

Diagnostic accuracy and safety of CT-guided fine needle aspiration biopsy of pulmonary lesions with non-coaxial technique: a single center experience with 442 biopsies

PURPOSE:We aimed to evaluate the diagnostic accuracy and safety of computed tomography (CT)-guided biopsy of pulmonary lesions with fine needle aspiration (FNA) using non-coaxial technique.METHODS:We analyzed 442 patients who underwent CT-guided lung biopsy with FNA and non-coaxial technique to determine the diagnostic outcomes, complication rates, and independent risk factors for diagnostic failure and pneumothorax.RESULTS:Diagnostic accuracy, sensitivity, and specificity were 97.6%, 97.3%, and 100%, respectively. Age and >35 mm lesion size were significant risk factors for diagnostic failure. The rates of pneumothorax and chest tube placement were 19% and 2.9%, respectively. Middle and lower lobe location, lesion to pleura distance >7.5 mm, and >45° needle trajectory angle were significant risk factors for pneumothorax.CONCLUSION:CT-guided FNA of pulmonary lesions with non-coaxial technique is a safe and reliable method with a relatively low pneumothorax rate and an acceptably high diagnostic accuracy

Antenatal Ultrasound Findings from a Fetus that was Ultimately Diagnosed with Pyloric Stenosis in the Mid Neonatal Period: A Case Report

Infantile hypertrophic pyloric stenosis is the most common surgical cause of vomiting in infants. The pyloric muscle is hypertrophied and the pyloric channel becomes narrow and elongated, causing gastric outlet obstruction. This is a case report of antenatal ultrasound findings from a fetus that was ultimately diagnosed with pyloric stenosis in the mid neonatal period

İlk orta neonatal dönemde gözlenip devamında pilor stenozu teşhisi alan bir fetüsteki antenatal ultrason bulguları: bir olgu sunumu

İnfantil hipertrofik pilor stenozu infantlarda kusmanın en sık cerrahi nedenidir. Pilor kası hipertrofiye olur, pilor kanalı darla- şır ve gastrik çıkış obstrüksiyonuna neden olarak uzar. Burada orta neonatal dönemde pilor stenozu tanısı almış olan bir fe- tusdaki antenatal ultrasonografi bulguları sunulmuştur.Infantile hypertrophic pyloric stenosis is the most common surgical cause of vomiting in infants. The py- loric muscle is hypertrophied and the pyloric channel becomes narrow and elongated, causing gastric outlet obstruction. This is a case report of antenatal ultrasound findings from a fetus that was ultimately diagnosed with pyloric stenosis in the mid neonatal period

Karın duvarı defektini taklit eden ikinci trimester spontan intraamniotik kanama

Biz burada bir karın duvarı defektini taklit eden ikinci trimester spontan intraamniotik kanama olgusunu sunmaktayız. Ultrason ve manyetik rezonans görüntüleme bulguları tartışılmış ve kanama ve karın duvarı defekti ayırıcı tanısı ile ilgili literatür gözden geçirilmiştir. (J Turkish-German Gynecol Assoc 2013; 14: 109-12)We report here a case of spontaneous intraamniotic haemorrhage in the second trimester which mimicked an abdominal wall defect. The ultrasound and magnetic resonance imaging findings are discussed and a review of the literature regarding differential diagnosis of bleeding and abdominal wall defects is made. (J Turkish-German Gynecol Assoc 2013; 14: 109-12

Anterior Abdominal Wall Scar Endometriosis: Case Series And Review Of Imaging Modalities

Pelvik veya abdominal skar dokusuna endometriozis ekimi oldukça nadir gözlenen bir durumdur. En sık olarak sezaryen operasyonları sonrasında uterus endometrial kavitesi içindeki endometrial stem hücrelerinin dış dokulara ekilmesi sonucunda gelişmektedir. Hastalar genellikle asemptomatiktir ancak siklik ağrı veya ele gelen kitle şikayeti ile başvurabilirler. Skar hattı yakınında klasik yerleşim yeri, klinik hikaye ve görüntüleme bulguları ile birleştirildiğinde tanı koyulması olasıdır. Ultrasonografi ile incelemede lezyon genellikle solid, hafif hipoekoik vasıfta, kas ile izoekoik özelliktedir. Kanama veya sıvı varlığı lezyonu heterojenleştirebilmektedir. Bilgisayarlı tomografik incelemede lezyonda en belirgin özellik, yoğun kontrast tutulumu olmakta iken manyetik rezonans görüntülemede ise kan ürünlerine hassasiyet ön plana çıkmaktadır.Implantation of endometriosis to pelvic and abdominal scar tissue is a very rare occurrence. Most commonly observed after cesarean sections due to implantation of uterine endometrial stem cells to outside tissues. Patients are often asymptomatic but may present with cyclic pain and mass. Imaging diagnosis is possible when classical implantation site near the scar tissue, clinical history and imaging findings are combined. In ultrasound imaging the lesion is often solid, mildly hypoechoic and often isoechoic to surrounding muscle. Presence of bleeding and fluid may cause the lesion to appear more heterogeneous. On computed tomography imaging the most pronounced finding is avid contrast enhancement of the lesion whereas in magnetic resonance imaging sensitivity to blood products